0001209191-12-043465.txt : 20120828
0001209191-12-043465.hdr.sgml : 20120828
20120828173238
ACCESSION NUMBER: 0001209191-12-043465
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120824
FILED AS OF DATE: 20120828
DATE AS OF CHANGE: 20120828
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Thomas Robert Bain
CENTRAL INDEX KEY: 0001404477
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54192
FILM NUMBER: 121060902
MAIL ADDRESS:
STREET 1: SUITE 4 LEVEL 46 2 PARK STREET
CITY: SIDNEY
STATE: C3
ZIP: 2000
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: REVA Medical, Inc.
CENTRAL INDEX KEY: 0001496268
STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842]
IRS NUMBER: 330810505
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5751 COPLEY DRIVE
CITY: SAN DIEGO
STATE: CA
ZIP: 92111
BUSINESS PHONE: (858) 966-3000
MAIL ADDRESS:
STREET 1: 5751 COPLEY DRIVE
CITY: SAN DIEGO
STATE: CA
ZIP: 92111
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2012-08-24
0
0001496268
REVA Medical, Inc.
RVA:AX
0001404477
Thomas Robert Bain
5751 COPLEY DRIVE
SAN DIEGO
CA
92111
1
0
0
0
Common Stock
2012-08-24
4
P
0
3000
5.64
A
30000
I
Rob Thomas Superannuation Fund
Common Stock
2012-08-28
4
P
0
2000
5.60
A
32000
I
Rob Thomas Superannuation Fund
Represents the purchase of 30,000 of the Company's Chess Depositary Interests (CDIs), trading on the Austrialian Securities Exchange.
The purchase was executed in the form of CDIs, trading on the Austrialian Securities Exchange, and as such the purchase price has been converted to a USD equivalent, adjusting for the ratio of 1 share of common stock per 10 CDIs, and the exchange rate on the date of the transaction.
Represents the purchase of 20,000 of the Company's Chess Depositary Interests (CDIs), trading on the Austrialian Securities Exchange.
/s/ Katrina Thompson, Attorney-in-fact
2012-08-28